MR. ANDREW J PARK (NPI# 1376167643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376167643 |
| Entity Type | Individual |
| Full Name | MR. ANDREW J PARK |
| Practice Address |
26845 Barton Rd Loma Linda CA 92373-4309 |
| Mailing Address |
11175 Campus St Loma Linda CA 92350-1700 |
| Practice Telephone | 9095582828 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043661770 | Andrew Joon Park | Physical Medicine & Rehabilitation | 12631 E 17th Ave # Msf493, Aurora, CO 80045-2527 | 2016-06-23 |
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1093331373 | Andrew Park | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1871121012 | Andrew Ji Hoon Park | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA 02215 | 2020-04-01 |
| 1922664135 | Andrew Park | Pharmacist | 1558 Trancas St, Napa, CA 94558-2916 | 2019-05-13 |
| 1033678305 | Andrew Park | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2019-03-17 |
| 1982137519 | Andrew Chunkil Park | Psychiatry & Neurology | 101 The City Dr S, Orange, CA 92868-3201 | 2017-04-10 |
| 1730610718 | Andrew John Park | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2017-03-22 |
| 1437691870 | Andrew Park | Physical Therapist | 34617 11th Pl S Ste 201, Federal Way, WA 98003-8706 | 2016-11-16 |
| 1124489836 | Andrew Park | Marriage & Family Therapist | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2016-03-09 |
| Street Address |
26845 BARTON RD |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92373-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544558 | Frida Keeru Bundi | Student in an Organized Health Care Education/Training Program | Loma Linda University 11262 Campus Street-west Hall, Loma Linda, CA 92350-0001 | 2020-07-01 |
| 1508482035 | Ella Wagner | Student in an Organized Health Care Education/Training Program | Loma Linda University 11262 Campus St- West Hall, Loma Linda, CA 92350-0001 | 2020-06-20 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1689295263 | Carlie Alphanso Smith | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Primary Care -internal Med, 11234 Anderson St., Loma Linda, CA 92354-2804 | 2020-05-05 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1396365599 | Katielee Pallis | Student in an Organized Health Care Education/Training Program | Loma Linda University Evans Hall 201, Loma Linda, CA 92350-0001 | 2020-04-17 |
| 1639798879 | Brian Fardad Yadegari | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2020-04-08 |
| 1316576895 | Jason Elperin | Student in an Organized Health Care Education/Training Program | Loma Linda University Health-internal Medicine, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-06 |
| 1881223428 | Masuma Javed Syed | Student in an Organized Health Care Education/Training Program | Loma Linda University Health- Internal Medicine, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-06 |
| 1083243190 | William Peter Kehr | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-02 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92373 |
Please comment or provide details below to improve the information on MR. ANDREW J PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.